FCCS Test Study Guide

FCCS Test Study Guide DIRECT Methodology - Detection Intervention Reassessment Effective Communication Teamwork ____ is the greatest contribution to diagnosis. - History ____ is the single most important indicator of critical illness. - Tachypnea Kussmall Breathing (or change in depth of respiration) usually indicates - Metabolic acidosis Cheyne-Stokes Respiration (or periodic breathing with apnea or hypopnea usually indicates - Severe brainstem injury or cardiac dysfunction Biot Respiration (or ataxic breathing) usually indicates - Severe neuronal damage ____ is one of the most important indicators of critical illness. - Metabolic acidosis ____ is one of the most useful tests in an acutely ill patient. - ABG An acute deterioration may seem to occur more abruptly in: young or elderly? - Young What are the two most important predictors of risk in a critically ill patient? - Tachypnea and Metabolic acidosis Oropharyngeal airway is not used if ____. - Airway reflexes are intact Nasopharyngeal airway is contraindicated in patient with ____ and ____. - Suspected basilar skull fracture or coagulopathy ____ is the most common cause of airway obstruction. - Tongue SOAP ME (Airway Mneumonic) - Suction Oxygen Airways Position Monitoring/Medications Equipment Airway Evaluation - Neck Mobility External Face Mouth Tongue and Pharynx Jaw After tracheal intubation, significant alterations in hemodynamics should be anticipated. - Hypertension and Tachycardia Although, you can also have Hypotension and decreased CO due to reduced venous return associated with positive airway pressure. Maximum dose of Lidocaine in airway: - 4 mg/kg (Max: 300 mg) Depolarizing Neuromuscular Blockers - Succinylcholine Non-depolarizing Neuromuscular Blockers - Vecuronium Rocuronium Cisatracurium Dosage of Succinylcholine - 1-1.5 mg/kg IV bolus Dosage of Vecuronium - 0.1-0.3 mg/kg IV bolus Dosage of Rocuronium - 0.6-1 mg/kg IV bolus Reversal agent of Fentanyl - Naloxone